Individual
TAMIKA WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 E WATER ST, CASSOPOLIS, MI 49031-1357
(269) 445-2417
Mailing address
209 E WATER ST, CASSOPOLIS, MI 49031-1357
(269) 445-2417
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114223
MI
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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